Protein in nerves determines which brain connections stay, which go

- By Amy Adams

Carla Shatz

A newborn baby, for all its cooing cuddliness, is a data acquisition machine, absorbing information to finish honing the job of brain wiring that started before birth. This is true nowhere more so than the eyes, which start life peering at a blurry world and within months can make out a crisp, three-dimensional image of a mobile dangling overhead.

This process of refining the brain's wiring involves cutting off some of the excess nerve connections we have at birth while strengthening connections we use all the time. Some estimates show that as many as half of the brain's connections formed during development are clipped back as the final wiring takes shape.

Carla Shatz, PhD, the David Starr Jordan Director of Stanford Bio-X, and her team, including postdoctoral researcher Hanmi Lee, PhD, and Bio-X graduate fellow Jaimie Adelson, recently found a protein that is essential for the brain to remove those excess connections. The team specifically showed a role for the protein in the developing visual system in mice, but their findings, published online March 30 in Nature, appear to apply broadly across the developing brain.

Shatz said the discovery helps clear up something that has been a mystery to those who study brain development: How does the decision get made to eliminate some connections? It also settles a decade-long debate over whether the nervous system or the immune system is making those decisions. (Spoiler alert: It's the nervous system.)

A single vision

"Vision is a challenging problem because you have two eyes and only one view of the world," said Shatz, who is also the Sapp Family Provostial Professor and professor of biology and of neurobiology. "There's a very beautiful set of wiring steps that makes sure the eyes are pointed at the same place and the two images get aligned."

Shatz said the rule of which connections the brain cuts back to create that single vision follows a simple mantra: "Fire together, wire together. Out of sync, lose your link." Or rather, if early in life the left sides of both eyes see the same duck motif wallpaper, those neurons fire together and stay linked up. When the top of one eye and bottom of the other eye form a connection, the nerves fire out of sync, and the connection weakens and is eventually pruned back. Over time, the only connections that remain are between parts of the two eyes that are seeing the same thing.

The ability to detect which nerves fire out of sync and should therefore lose their link requires the protein Shatz's team reported, which goes by the name of MHC Class I D, or D for short. This protein is one that is famous for its role in the immune system, but only in the past decade has Shatz's team started building a case for D's independent role in the brain.

Two camps, one protein

In 2000, Shatz first published work suggesting that a group of immune proteins called MHC in mice and HLA in people played a role in the developing nervous system. At the time, this caused a stir among immunologists, who were surprised to find their proteins showing up in the brain.

Lawrence Steinman, MD, professor of neurology and neurological sciences and of pediatrics at the Stanford School of Medicine, has followed Shatz's work from the perspective of both a neurologist and immunologist. "One of the reasons that I think the research is so interesting is that it shows us that molecules thought to be the province of one group can be in another," he said, adding, "It slowed the prevailing idea that people believed that some molecules were the domain of one camp."

Bio-X includes faculty members and students from both immunology and the neurological sciences, and Shatz said that being able to talk about her work and collaborate with this mix of colleagues has helped break down barriers in thinking about her unexpected findings.

After the initial discovery, Shatz went on to show that two of those MHC proteins — D and its sister protein, K — seemed to be important in eliminating connections in the brain. Mice genetically engineered to lack both K and D had poorly functioning immune systems and also ended up with the visual system in a jumble, with unrelated parts of the two eyes forming connections. Without D and K, the mice weren't detecting which connections fired out of sync, so those connections didn't lose their link.

After Shatz published that work, some immunologists argued that perhaps D and K were necessary for brain remodeling only because of their key function in the immune system. "They were saying that the immune system was telling the nervous system what to prune," Shatz said.

It was a theory, but not one Shatz agreed with. Her feeling was that just because D and K were first found in the immune system didn't mean they couldn't have a unique role in the brain. "The nervous system has just as much right to these immune proteins as the immune system," Shatz said. Her most recent work makes that point clear.

D on the brain

Shatz and her group worked with the mice that were lacking D and K everywhere, then used genetic engineering tricks to add D back, but only in the neurons. These mice still had poorly functioning immune systems, but had perfectly normal eye connections. In these mice, the nerves were able to determine which connections to cut and which to keep, even without the immune system.

Steinman said the work settles the issue of whether D is acting in the brain separate from its role in the immune system. "If Carla had studied MHC proteins before the immunologists, then we would consider them to be part of the nervous system. They clearly have major roles in both the nervous system and the immune system," he said.

The group went on to show that the presence of D alters the composition of other proteins on the nerve cell surface that are in charge of receiving signals from other nerves. Her team thinks that it is this difference in how the nerve receives signals with or without D that makes the pruning process go awry.

Essentially, without D, all nerve connections appear to be firing together and therefore they stay wired together.

Shatz said that in addition to explaining an important part of brain development, the work could also provide a new avenue for studying schizophrenia. Some studies have shown that people with mutations in the human genes related to D are more prone to the disease. Other studies have associated schizophrenia with improperly formed connections in the brain. Shatz suggested this new role for D in the brain could mean that the pruning process has gone awry in schizophrenia. The group plans to explore this idea further, as well as to tease apart what D is doing to alter the composition of neurotransmitter receptors on the nerve cell surface.

Other Stanford co-authors of the study are research associate Barbara Brott, PhD; medical student Sarah Cheng; and postdoctoral scholar Akash Datwani, PhD.

The study was funded by the National Institutes of Health, the G. Harold and Leila Y. Mathers Charitable Foundation and a National Science Foundation Predoctoral Fellowship.


Amy Adams is director of interdisciplinary life sciences communications at Stanford.

About Stanford Medicine

Stanford Medicine is an integrated academic health system comprising the Stanford School of Medicine and adult and pediatric health care delivery systems. Together, they harness the full potential of biomedicine through collaborative research, education and clinical care for patients. For more information, please visit med.stanford.edu.

2023 ISSUE 3

Exploring ways AI is applied to health care